Amanda Marie Wald, PA-C

NPI #1326509753 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1326509753
Entity Type: Individual
Name: Amanda Marie Wald, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 28, 2019
Last Updated: May 19, 2022

Practice Location

Address: 3833 COON RAPIDS BLVD NW STE 100
City: Coon Rapids
State: Minnesota
ZIP Code: 55433-2697
Phone: (763) 427-8320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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